Westside Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552334 Issued in WV

Legal business name

WESTSIDE PHARMACY INC

Doing business as

Westside Pharmacy

Practice address

RT 10 Cook Pkwy and Logan St
Oceana, WV 24870

Phone

(304) 682-0444

Fax

(304) 682-0447

NPI assigned

May 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Devonna Miller West, DRPH

Title

President

Phone

(304) 682-0444

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WESTSIDE PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devonna Lou West, RPH

  • Pharmacist
  • Oceana, WV
  • NPI 1326909755
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1215988670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248700069",
            "telephone_number": "304-682-0444",
            "fax_number": "304-682-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 10 COOK PKWY AND LOGAN ST",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "24870",
            "telephone_number": "304-682-0444",
            "fax_number": "304-682-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "MILLER WEST",
        "authorized_official_first_name": "DEVONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-682-0444",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005541",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elona Walker
• Justin D Walker, PHARMD.
• Zelda Sue Walls
• Adam G West, BS PT
• Devonna Lou West, RPH
• Chelsea White
• Travis Aaron Wooten
• Delilah L Wright, OT
• Hunter Wright, DDS

• Community/Retail Pharmacy in Oceana, WV
• Providers in Oceana, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.